EP1406688B1 - Atemtherapiegeraet zur freihaltung des natuerlichen atemweges eines menschlichen koerpers und dessen verwendungsverfahren zur verhinderung von schnarchgeraueschen - Google Patents
Atemtherapiegeraet zur freihaltung des natuerlichen atemweges eines menschlichen koerpers und dessen verwendungsverfahren zur verhinderung von schnarchgeraueschen Download PDFInfo
- Publication number
- EP1406688B1 EP1406688B1 EP02758087A EP02758087A EP1406688B1 EP 1406688 B1 EP1406688 B1 EP 1406688B1 EP 02758087 A EP02758087 A EP 02758087A EP 02758087 A EP02758087 A EP 02758087A EP 1406688 B1 EP1406688 B1 EP 1406688B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- pressure
- respiratory
- therapy device
- respiratory tract
- respiratory therapy
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/055—Cervical collars
Definitions
- the invention relates to a method according to the preamble of claim 1 and a respiratory therapy device according to the preamble of claim 2.
- Such devices are used for the treatment of obstructive sleep apnea.
- Another application is the prevention of snoring.
- CPAP devices Continuous Positive Airway Pressure
- CPAP Continuous Positive Airway Pressure
- These devices provide respiratory air in a face mask, the pressure of which is continuously increased by a few hPa from the atmospheric pressure. When a patient breathes in this artificial atmosphere, his respiratory passages remain stretched wide enough due to the positive relative pressure to breathe.
- a CPAP device thus only causes a "pneumatic splint" of the respiratory tract.
- the breathing process itself is based solely on self-breathing.
- Snoring is an indication of sagging and constricted airways.
- the air pressure drops there, because with increasing speed, the distance between the L-molekülen becomes larger.
- collapsed tissue collapses and obstructs the airway completely.
- the flow-induced negative pressure disappears, the respiratory tracts straighten up and the air flows again until it reaches a certain speed. This leads immediately to the next closure.
- Fast snoring of the occlusion and opening of the respiratory tract causes the snoring sound.
- a CPAP device increases the air pressure relative to the atmospheric pressure (relative pressure) so far that the flow-induced pressure reduction can no longer cause a closure and thus prevents the formation of a snoring sound. If the underlying snoring mechanism exceeds a certain severity, then also the respiratory drive. Now there is the disease "obstructive sleep apnea" in need of treatment, which affects at least 1% of the population. The disease is mainly treated with CPAP devices. Mechanical aids or surgical interventions are additional but minor therapeutic options.
- a disadvantage of known CPAP devices is that they have an internal flow resistance, which the patient must overcome with his respiratory muscles. This results in an additional burden, because the internal resistance of the device adds up to the airway resistance of the patient.
- CPAP devices are therefore equipped with an integrated humidifier or the humidifier is switched on as an additional device between the CPAP device and the patient.
- Other disadvantages of CPAP devices include operating noise, disability through the face mask, hygienic risks and high energy consumption.
- EP-A-0 330 740 also known as an artificial respirator, which, among other things, also treats sleep apnea and which consists of a bell and a blower, both of which are connected to one another via supply lines. These supply lines incorporate technical valves and control devices for influencing the function of the blower.
- the bell is placed on the chest of a human body and creates a rhythmic change between a negative pressure and an overpressure within the bell. This rhythm is tuned to the natural breathing rhythm of the human, so that the breathing process is actively supported.
- the main disadvantage of this ventilator is that it is not suitable for the prevention of snoring sounds.
- the invention is therefore an object of the invention to provide a generic method and a corresponding respiratory therapy device that allows breathing in a free atmosphere. Further tasks include the abolition of the face mask, the reduction of operating noise, the improvement of hygiene and the reduction of energy consumption.
- the respiratory therapy device no longer supply the breathing air, but only has to maintain the negative relative pressure in a chamber, the breathing tube in favor of a thin suction tube is also eliminated.
- the suction fan does not have to move large amounts of air, but only the amount that flows as a result of leaks in the vacuum chamber.
- the required power of the suction fan is so small and can also be applied by a battery.
- the whole fan can be kept quite small, whereby a good soundproofing is made possible.
- Benefits also arise in the security sector. Failure of the blower will not automatically result in CO 2 rebreathing. In such a case, the symptoms of obstructive sleep apnea would be restored, but more could not happen. Hygienic advantages arise because no accessories such as hose and mask are flowed through by the breathing air and thus no more condensation can form. The time cleaning cycle can therefore be essential be enlarged. Use of the device by different patients is harmless.
- the device Since the device is simple in construction and inexpensive to manufacture and there are no dangers associated with its use, it can also be used without a medical prescription, for example to prevent snoring.
- a medical prescription for example to prevent snoring.
- the devices usually consist of an object that must be worn in the mouth or on the teeth. This can easily cause accidents when, for example, the used anti-snarl brace dissolves and is swallowed.
- the example device consists of a neck mask 1, a suction tube 2 and a suction pump 3.
- the neck mask 1 is a half-open chamber which dome-shaped spans the anterior (ventral) neck region.
- the edge of the neck mask 1 circumscribes the region starting from the chin on both sides of the lower jaw along the sides of the neck and from there forward again down to the upper end of the sternum.
- a sealing device 6 is arranged, which rests on the skin in use. In this way, the open side of the neck mask 1 is closed by the skin of the patient and a closed chamber volume 7 is formed.
- the surface of the neck mask is such that it is stiff perpendicular to its surface but flexible in the direction of extension of the surface.
- the mask surface can enlarge and reduce during pitching movements of the head and laterally distort during rotational movements of the head.
- this property is achieved in that the shell of the neck mask 1 consists of an elastic skin 5, for example of rubber or other elastomer over a base of stabilizing skeletal clips 4.
- a nozzle-shaped air outlet 8 is arranged which leads from the outside through the shell of the neck mask 1 into the closed chamber volume 7 and which is connected to the suction side of the suction pump 3 via the suction hose 2.
- a neck hand 9 is provided, which could also be provided with a closure, preferably with a hook and loop fastener.
- the suction pump 3 During use, the suction pump 3 generates a constant negative pressure of a few hPa via the suction hose 2 connected to the air outlet 8 in the closed chamber volume 7. This is achieved by a pressure-controlled suction pump or by setting a specific speed on a suction fan. If there are leaks between the skin of the patient and the sealing device 6, the leakage volume flowing into the closed chamber volume 7 is sucked off. Also head movements cause no change in the negative pressure in the closed chamber volume 7 when the suction pump 3 or the suction fan used have a device for pressure control.
- the neck mask 1 spans the entire ventral neck region and at this point produces an artificial negative pressure atmosphere with the closed chamber volume 7, the respiratory tracts of the patient are splinted by the pressure of the normal atmosphere. Flow-related pressure drops in the throat area of the patient no longer lead to collapse of the respiratory tract. Snoring sounds can not arise anymore. Patients with obstructive sleep apnea can breathe freely and have a healthy sleep again.
Landscapes
- Health & Medical Sciences (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE20111396U DE20111396U1 (de) | 2001-07-12 | 2001-07-12 | Atemtherapiegerät |
DE20111396U | 2001-07-12 | ||
PCT/DE2002/002523 WO2003006095A1 (de) | 2001-07-12 | 2002-07-10 | Atemtherapiegeraet zur freihaltung des natuerlichen atemweges eines menschlichen koerpers und dessen verwendungsverfahren zur verhinderung von schnarchgeraues chen |
Publications (2)
Publication Number | Publication Date |
---|---|
EP1406688A1 EP1406688A1 (de) | 2004-04-14 |
EP1406688B1 true EP1406688B1 (de) | 2007-09-19 |
Family
ID=7959111
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP02758087A Expired - Lifetime EP1406688B1 (de) | 2001-07-12 | 2002-07-10 | Atemtherapiegeraet zur freihaltung des natuerlichen atemweges eines menschlichen koerpers und dessen verwendungsverfahren zur verhinderung von schnarchgeraueschen |
Country Status (13)
Country | Link |
---|---|
US (1) | US7182082B2 (ja) |
EP (1) | EP1406688B1 (ja) |
JP (1) | JP2004533907A (ja) |
CN (1) | CN1292811C (ja) |
AT (1) | ATE373499T1 (ja) |
CA (1) | CA2453487A1 (ja) |
DE (2) | DE20111396U1 (ja) |
DK (1) | DK1406688T3 (ja) |
ES (1) | ES2294155T3 (ja) |
HK (1) | HK1068822A1 (ja) |
RU (1) | RU2309770C2 (ja) |
WO (1) | WO2003006095A1 (ja) |
ZA (1) | ZA200309888B (ja) |
Families Citing this family (52)
Publication number | Priority date | Publication date | Assignee | Title |
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CA2545651A1 (en) * | 2003-11-20 | 2005-06-09 | Apneon, Inc. | Devices systems, and methods to fixate tissue within the regions of the body, such as the pharyngeal conduit |
US7644714B2 (en) * | 2005-05-27 | 2010-01-12 | Apnex Medical, Inc. | Devices and methods for treating sleep disorders |
US20070079832A1 (en) * | 2005-10-03 | 2007-04-12 | Mary Baldauf | Devices for assisting respiration of and administering fluid to a patient |
US8855771B2 (en) | 2011-01-28 | 2014-10-07 | Cyberonics, Inc. | Screening devices and methods for obstructive sleep apnea therapy |
US9744354B2 (en) | 2008-12-31 | 2017-08-29 | Cyberonics, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
US9913982B2 (en) | 2011-01-28 | 2018-03-13 | Cyberonics, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
WO2008048471A2 (en) | 2006-10-13 | 2008-04-24 | Apnex Medical, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
US9205262B2 (en) | 2011-05-12 | 2015-12-08 | Cyberonics, Inc. | Devices and methods for sleep apnea treatment |
US9186511B2 (en) | 2006-10-13 | 2015-11-17 | Cyberonics, Inc. | Obstructive sleep apnea treatment devices, systems and methods |
CN101594841B (zh) * | 2006-12-15 | 2012-04-25 | 5I科学公司 | 用于打开气道的装置和方法 |
US20090177124A1 (en) * | 2007-11-08 | 2009-07-09 | Silwa John W | Sleep apnea prevention and relief device |
US8505540B2 (en) * | 2007-11-13 | 2013-08-13 | Apnicure, Inc. | Methods and systems for improving airway patency |
US8074656B2 (en) * | 2007-11-13 | 2011-12-13 | Apnicure, Inc. | Methods and systems for creating pressure gradients to improve airway patency |
US8667970B2 (en) | 2007-11-13 | 2014-03-11 | Apnicure, Inc. | Airway device with tongue-engaging member |
US8573223B2 (en) | 2010-07-20 | 2013-11-05 | Apnicure, Inc. | Airway device with tongue-engaging member |
US8578939B1 (en) | 2008-04-07 | 2013-11-12 | Dreamscape Medical Llc | External pressure therapy apparatus |
WO2009126597A1 (en) * | 2008-04-07 | 2009-10-15 | Medventix, L.L.C. | Suction therapy apparatus and methods |
US8251876B2 (en) | 2008-04-22 | 2012-08-28 | Hill-Rom Services, Inc. | Breathing exercise apparatus |
CN104939962B (zh) * | 2008-05-20 | 2018-04-20 | 索美瑞克斯公司 | 用于打开气道的器械和方法 |
WO2010124191A2 (en) * | 2009-04-24 | 2010-10-28 | New York University | System and method for circuits to allow cpap to provide zero pressure |
DE102009034417A1 (de) | 2009-07-23 | 2011-01-27 | Airbus Operations Gmbh | Fluid-Aktuator zur Erzeugung einer gepulsten Auslass-Strömung in der Umströmung eines aerodynamischen Körpers, eine Ausblasvorrichtung mit einem solchen Fluid-Aktuator sowie einen solchen aerodynamischen Körper |
DE102010006121B4 (de) | 2010-01-29 | 2022-08-11 | Merck Patent Gmbh | Materialien für organische Elektrolumineszenzvorrichtungen |
US8402973B2 (en) | 2010-08-16 | 2013-03-26 | Apnicure, Inc. | Method and system for sizing an oral device |
CN105232209B (zh) * | 2010-10-26 | 2018-05-15 | 索美瑞克斯公司 | 构造成落座在患者的颏和颈部上的设备 |
US8979823B2 (en) | 2011-02-09 | 2015-03-17 | Apnicure, Inc. | Saliva management system with continuous flow through oral device |
US9180271B2 (en) | 2012-03-05 | 2015-11-10 | Hill-Rom Services Pte. Ltd. | Respiratory therapy device having standard and oscillatory PEP with nebulizer |
US9483792B2 (en) | 2012-05-15 | 2016-11-01 | Apnicure, Inc. | Screen-based method and system for sizing an oral appliance |
US10092477B2 (en) | 2012-06-01 | 2018-10-09 | Koninklijke Philips N.V. | Use of secondary metrics in neck suction therapy |
EP2858609A1 (en) * | 2012-06-11 | 2015-04-15 | Koninklijke Philips N.V. | Neck extension device and method of use |
US9375541B2 (en) | 2012-07-11 | 2016-06-28 | Apnicure, Inc. | Apparatus and methods for reducing foaming during saliva collection |
CN103099701B (zh) * | 2012-11-01 | 2014-11-05 | 陈彩霞 | 鼻鼾颈筒治疗系统 |
US11246742B2 (en) | 2013-01-11 | 2022-02-15 | Somnics, Inc. (Taiwan) | Oral device to eliminate air space in oral cavity |
CN109701135A (zh) | 2013-03-15 | 2019-05-03 | 费雪派克医疗保健有限公司 | 鼻套管组件和相关部件 |
US10874577B2 (en) | 2013-03-15 | 2020-12-29 | Somne Llc | Obtaining, with a sleep-apnea device, information related to sleep-apnea events and sleep-apnea treatment, and correlating sleep apnea events and sleep-apnea treatment with subject lifestyle and wellbeing |
US9707121B2 (en) | 2013-03-15 | 2017-07-18 | Elwha Llc | Treating sleep apnea with negative pressure |
EP3030299B1 (en) | 2013-08-09 | 2020-07-01 | Fisher & Paykel Healthcare Limited | Asymmetrical nasal delivery elements and fittings for nasal interfaces |
US11383083B2 (en) | 2014-02-11 | 2022-07-12 | Livanova Usa, Inc. | Systems and methods of detecting and treating obstructive sleep apnea |
CA2976909A1 (en) | 2015-02-17 | 2016-08-25 | Sommetrics, Inc. | Medical pump filtration device, and methods of manufacture and use thereof |
AU2016243801B2 (en) | 2015-04-02 | 2020-05-21 | Hill-Rom Services Pte. Ltd. | Manifold for respiratory device |
JP2018525061A (ja) | 2015-06-25 | 2018-09-06 | ソメトリクス インコーポレイテッド | 定寸装置および定寸装置の製造および使用の方法 |
US10166140B2 (en) | 2015-06-25 | 2019-01-01 | Somnics, Inc. | Liquid container and absorbent insert for oral negative-pressure therapy system |
US11491044B2 (en) * | 2015-11-25 | 2022-11-08 | Sommetrics, Inc. | Chamber cushion, seal and use thereof |
WO2017127723A1 (en) * | 2016-01-20 | 2017-07-27 | Sommetrics, Inc. | Device and method for opening an airway |
US11123218B2 (en) | 2016-03-08 | 2021-09-21 | Sommetrics, Inc. | Device and method for opening an airway |
USD870269S1 (en) | 2016-09-14 | 2019-12-17 | Fisher & Paykel Healthcare Limited | Nasal cannula assembly |
US10925801B2 (en) | 2016-11-04 | 2021-02-23 | Sommetrics, Inc. | Pressure control system, device and method for opening an airway |
WO2019028330A1 (en) * | 2017-08-03 | 2019-02-07 | Sommetrics, Inc. | DEVICE AND METHOD FOR OPENING RESPIRATORY TRACT |
CA3075489A1 (en) | 2017-09-12 | 2019-03-21 | Isl, Llc | Devices and methods for contacting living tissue |
CA3076215C (en) * | 2017-10-02 | 2022-08-30 | Morpheus Medical Solutions, Llc. | Neck collar for treatment of sleep apnea |
WO2024094212A1 (zh) * | 2022-11-04 | 2024-05-10 | 北京怡和嘉业医疗科技股份有限公司 | 应用于负压面罩组件的选型方法以及选型装置 |
CN116439900B (zh) * | 2023-06-16 | 2023-08-18 | 苏州小蓝医疗科技有限公司 | 呼吸反馈式止鼾治疗控制装置、电子设备、系统和介质 |
CN116712243B (zh) * | 2023-07-03 | 2024-01-23 | 凯瑞威尔(苏州)科技有限公司 | 一种止鼾设备和控制方法 |
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-
2001
- 2001-07-12 DE DE20111396U patent/DE20111396U1/de not_active Expired - Lifetime
-
2002
- 2002-07-10 DK DK02758087T patent/DK1406688T3/da active
- 2002-07-10 US US10/483,634 patent/US7182082B2/en not_active Expired - Lifetime
- 2002-07-10 RU RU2004103980/14A patent/RU2309770C2/ru not_active IP Right Cessation
- 2002-07-10 WO PCT/DE2002/002523 patent/WO2003006095A1/de active IP Right Grant
- 2002-07-10 JP JP2003511898A patent/JP2004533907A/ja active Pending
- 2002-07-10 AT AT02758087T patent/ATE373499T1/de active
- 2002-07-10 ES ES02758087T patent/ES2294155T3/es not_active Expired - Lifetime
- 2002-07-10 CN CNB028139887A patent/CN1292811C/zh not_active Expired - Fee Related
- 2002-07-10 DE DE50210930T patent/DE50210930D1/de not_active Expired - Lifetime
- 2002-07-10 CA CA002453487A patent/CA2453487A1/en not_active Abandoned
- 2002-07-10 EP EP02758087A patent/EP1406688B1/de not_active Expired - Lifetime
-
2003
- 2003-12-22 ZA ZA200309888A patent/ZA200309888B/en unknown
-
2005
- 2005-02-24 HK HK05101557A patent/HK1068822A1/xx not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
ATE373499T1 (de) | 2007-10-15 |
ES2294155T3 (es) | 2008-04-01 |
US20050098176A1 (en) | 2005-05-12 |
JP2004533907A (ja) | 2004-11-11 |
RU2004103980A (ru) | 2005-02-27 |
EP1406688A1 (de) | 2004-04-14 |
RU2309770C2 (ru) | 2007-11-10 |
CN1292811C (zh) | 2007-01-03 |
CN1527731A (zh) | 2004-09-08 |
CA2453487A1 (en) | 2003-01-23 |
HK1068822A1 (en) | 2005-05-06 |
DE20111396U1 (de) | 2001-10-18 |
ZA200309888B (en) | 2004-02-23 |
WO2003006095A1 (de) | 2003-01-23 |
DK1406688T3 (da) | 2008-01-21 |
US7182082B2 (en) | 2007-02-27 |
DE50210930D1 (de) | 2007-10-31 |
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